Take the first step...

Please fill out the information below and we will respond with a therapist recommendation within 24 hours. 

 

The more information that you share, the better we can match you with the right therapist or coach for you.

Asperger's symptoms are presenting for:
ADHD symptoms are presenting for:
The type of therapy that we are interested in:
Where do you reside? (this impacts whether you are matched with a neurodiverse therapist or a neurodiverse coach).
ASD Assessment and/or Diagnosis:
Your therapist or coach preferences:
Incorporate spirituality?
I prefer a therapist with a:
Our fee per 50 minute session varies based on life experience, clinical experience, training, education (master's, doctorate), and special certifications. Please indicate the fee you are able to pay and we will do our best to match you with the appropriate professioal.

Information shared on this intake form may be viewed by members of the Neurodiverse Couples Counseling Center staff in order to match you with the therapist who is the best fit for you. 

By entering your information, you will be added to our mailing list however you will be given the option to unsubscribe at any time.  

Thanks for submitting! We will contact you within 24 hours